Hernandez, Sergio
Hernandez, Sergio is an individual health care provider with primary practice located at 171 Inner Loop Rd , Fort Irwin CA 92310-0000. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Hernandez, Sergio can be contacted via phone (760) 380-3173.Contact Information
Primary practice address
171 Inner Loop Rd
Fort Irwin CA 92310-0000
Phone: (760) 380-3173
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DEN-DEN-REN-3113 | Montana |
| Dental Providers / Dentist | 122300000X | DEN-DEN-LIC-2432 | Montana |
Profile Details
| NPI number | 1316210859 |
|---|---|
| LBN Legal business name | Hernandez, Sergio |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2012 |
| Last updated | Sep 21st, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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